Provider Demographics
NPI:1467471003
Name:HOOD, JONATHAN (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:HOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1463
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:AL
Mailing Address - Zip Code:35121-0017
Mailing Address - Country:US
Mailing Address - Phone:205-446-3353
Mailing Address - Fax:866-904-4606
Practice Address - Street 1:106 LAUREL LN
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-1822
Practice Address - Country:US
Practice Address - Phone:205-542-4503
Practice Address - Fax:866-904-4606
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-44599207Q00000X
AL00012971207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051006103OtherBCBS
AL167372 (BLOUNT)Medicaid
AL051552636OtherBLUE CROSS BLUE SHIELD
AL167058 (CULLMAN0Medicaid
AL511-56962 (CULLMAN)OtherBLUE CROSS
AL511-56647 (SCRUGGS)OtherBLUE CROSS
AL511-56646 (BLOUNT)OtherBLUE CROSS
AL009912484Medicaid
AL051552636Medicaid
AL051552636Medicare ID - Type Unspecified
AL511-56647 (SCRUGGS)OtherBLUE CROSS
AL051006103OtherBCBS
ALP00428693Medicare PIN